Health & Safety Awareness Survey Form

Date:
Department/Role:

Rating Scale: 1 - Not at all, 2 - Slightly, 3 - Moderately, 4 - Very

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How aware are you of the health & safety policies at work?
Do you feel informed about what to do in case of an emergency (e.g., fire, medical emergency)?
How adequate do you find the health & safety training provided?
Are the health & safety resources (e.g., first aid kits, safety signs) easily accessible and visible?
How safe do you feel in your workplace?

Have you witnessed/experienced an incident at work?

• Yes

• No

If YES, please briefly describe:_____________________

What improvements, if any, do you suggest for health and safety in the workplace?

Thank you for participating in this survey. Your feedback is crucial
in helping us maintain and improve our health and safety standards.

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